NPI | 1720098841 |
---|---|
Former Name | KARASSA DAWN HORROCKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 1739) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM 2002-0021) |
363A00000X Physician Assistant (Licence: CA PA18376) | |
363A00000X Physician Assistant (Licence: WI 2070) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2023-03-07 |