| NPI | 1033876529 |
|---|---|
| Former Name | KATELYN PICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02726) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0007101) |
| 363AM0700X Physician Assistant Medical (Licence: CO PA.0007101) | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2023-12-14 |