NPI | 1760457451 |
---|---|
Former Name | KARI L TOMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2557) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: WI 2557) |
363AS0400X Physician Assistant Surgical (Licence: IL 085003483) | |
Enumeration Date | 2006-02-17 |
Last Update Date | 2021-08-17 |