NPI | 1003286360 |
---|---|
Former Name | KATHLEEN IRENE STRAHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA205646) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA205646) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2021-12-22 |