NPI | 1982010096 |
---|---|
Former Name | CARA LYNN STURLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107987) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107987) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2025-03-05 |