| NPI | 1144064668 | 
|---|---|
| Former Name | KATEY ANN DEPUY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008791RX) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 50.008791RX) | 
| Enumeration Date | 2024-06-20 | 
| Last Update Date | 2025-05-20 |