NPI | 1558701912 |
---|---|
Former Name | KARI ROSE ALBERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 3907) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MS PA00557) |
Enumeration Date | 2013-07-01 |
Last Update Date | 2021-10-27 |