| NPI | 1720183890 |
|---|---|
| Former Name | KAREN GAYL KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 265023) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 54560-20) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-01-24 |