| NPI | 1093966178 |
|---|---|
| Former Name | KATIE M. HABERSBRUNNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX 553281) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003833) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2019-01-04 |