NPI | 1972823946 |
---|---|
Former Name | KAREN KAIULANI BACHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA19703) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2010-0007) |
Enumeration Date | 2010-06-01 |
Last Update Date | 2022-07-21 |