NPI | 1679646327 |
---|---|
Former Name | CARA FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051224) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-11-17 |
Last Update Date | 2024-08-26 |