NPI | 1083837942 |
---|---|
Former Name | KATHLEEN ANNEKE CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ID PA-378) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: ID PA-378) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2024-02-27 |