NPI | 1588389662 |
---|---|
Former Name | TARYN N AREL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5072) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2022-068) |
363A00000X Physician Assistant (Licence: AR PA-1116) | |
Enumeration Date | 2022-10-11 |
Last Update Date | 2025-01-28 |