NPI | 1013558527 |
---|---|
Other Name | KATIE FALCONER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4025) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2019-10-06 |
Last Update Date | 2025-04-16 |