NPI | 1174047393 |
---|---|
Former Name | KATHARINE M MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA202574) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60779453) |
Enumeration Date | 2017-07-30 |
Last Update Date | 2023-10-27 |