| NPI | 1134628498 |
|---|---|
| Former Name | KATHLEEN AEY, HARPER, BERRY, WINEBURNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111078) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2020-05-11 |