NPI | 1841237294 |
---|---|
Former Name | KAREN ALYCE KIEFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3133) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 3133) |
363A00000X Physician Assistant (Licence: AZ 3133) | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2023-12-07 |