| NPI | 1770178857 |
|---|---|
| Former Name | CAROLINE HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA222276) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10506) |
| 363A00000X Physician Assistant (Licence: WA PA.61521732) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2024-10-30 |