NPI | 1972582955 |
---|---|
Other Name | KARRIE ANN KORMANIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06817) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 0715) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2018-12-13 |