| NPI | 1922193192 |
|---|---|
| Former Name | KAAREN L MAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM PA20040011) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-10-02 |