NPI | 1205478963 |
---|---|
Former Name | CATHERINE RUTH SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007679) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2024-04-16 |