| NPI | 1124449723 |
|---|---|
| Former Name | KATIE LYN MAUZY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 10945) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2022-03-08 |