| NPI | 1629368634 |
|---|---|
| Former Name | CAREY ANNE ENGSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2075) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002186) |
| 363A00000X Physician Assistant (Licence: KY TC357) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2018-03-17 |