NPI | 1679913792 |
---|---|
Former Name | KARIS ANN GALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA1591) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ME PA338) |
Enumeration Date | 2013-07-03 |
Last Update Date | 2021-07-16 |