| NPI | 1639675325 |
|---|---|
| Former Name | KARLI ANNE GAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 11366998-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-02-06 |