NPI | 1689756512 |
---|---|
Former Name | KARIN HOLMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60152443) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-00896) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2022-09-28 |