NPI | 1174612642 |
---|---|
Former Name | KATHERINE E WRIGLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00167200) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053308) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2024-10-01 |