| NPI | 1952634743 |
|---|---|
| Former Name | KARILYN CROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 54056) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003571) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2022-02-09 |