| NPI | 1205597465 |
|---|---|
| Former Name | KATHRYN ELIZABETH KRAJENTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110009210) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12586) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2023-06-05 |