| NPI | 1689612152 |
|---|---|
| Former Name | KARLA LURELL WHITCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 1301) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110001324) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-00487) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-05-07 |