| NPI | 1841423530 |
|---|---|
| Former Name | RANDI D HAUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 15-01339) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-01339) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2022-01-18 |