NPI | 1639488182 |
---|---|
Former Name | ALLISON NICOLE KARAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60656503) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: PA MA054515) | |
Enumeration Date | 2010-10-01 |
Last Update Date | 2023-03-29 |