| NPI | 1104195833 |
|---|---|
| Former Name | KATIE L SANDLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 3930) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2087) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2017-11-03 |