NPI | 1821074543 |
---|---|
Former Name | KARA ANETTE PARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA03133) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03133) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2024-02-26 |