| NPI | 1922193192 |
|---|---|
| Former Name | KAAREN L MAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2004-0011) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM PA2004-0011) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-11-18 |