NPI | 1134634074 |
---|---|
Former Name | KATHARINE R. LUDWIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16647) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: AZ 6764) | |
Enumeration Date | 2017-12-13 |
Last Update Date | 2023-05-10 |