NPI | 1891837902 |
---|---|
Former Name | KARI LYNN CHAGNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8383) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005785) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2023-10-11 |