| NPI | 1003301367 |
|---|---|
| Former Name | KATHERINE ANNE WATSON BURLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12714) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4448) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2020-10-26 |