NPI | 1003182130 |
---|---|
Former Name | KATHRYN A LAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15924) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA PA21927) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2023-03-06 |