| NPI | 1689207029 |
|---|---|
| Former Name | KARLIE STRAIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006707) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CO PA.0006707) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2025-03-03 |