NPI | 1154389153 |
---|---|
Other Name | KATE WILLENBORG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10627) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NV PA972) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2025-08-06 |