NPI | 1023465390 |
---|---|
Former Name | KATHARINE ENGELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WY PA991) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60805916) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2023-02-09 |