| NPI | 1821540741 |
|---|---|
| Former Name | KARA LEE MOSTOLLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005847RX) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.005847RX) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-07-14 |