| NPI | 1093191686 |
|---|---|
| Former Name | KATHRYN MARIE GROSSKLAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6579) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0005855) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-01-10 |