NPI | 1063286268 |
---|---|
Other Name | KATTERINE HAMBLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9118017) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9118017) |
Enumeration Date | 2023-11-08 |
Last Update Date | 2023-12-12 |