NPI | 1720314412 |
---|---|
Former Name | KARI L ROSEBROUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 60410615) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 2592) |
Enumeration Date | 2009-10-30 |
Last Update Date | 2014-04-18 |