| NPI | 1053865956 |
|---|---|
| Former Name | KATHRYN FOLKNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 8040) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110007579) |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110007579) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2024-03-22 |