NPI | 1902155898 |
---|---|
Former Name | KAREN DVORKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22700) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1366) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2018-03-27 |