NPI | 1629598230 |
---|---|
Former Name | KAREN ANGELA POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA059087) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA OA004172) |
Enumeration Date | 2017-06-24 |
Last Update Date | 2024-08-15 |