| NPI | 1144613944 |
|---|---|
| Former Name | KATHERINE MCGILLIVRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00542400) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA003521) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA057488) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2023-06-15 |