NPI | 1669632436 |
---|---|
Former Name | KAREN MARGARET HARWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 002188) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 6895723-1206) |
Enumeration Date | 2008-06-14 |
Last Update Date | 2020-11-20 |