| NPI | 1669721536 |
|---|---|
| Former Name | KARYN MARIE EARLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04628) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 5190) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-02-12 |