| NPI | 1033659404 |
|---|---|
| Former Name | KATHERINE SUZANNE VORNHEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-07153) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2024-09-09 |