| NPI | 1215186044 |
|---|---|
| Former Name | KATHERINE ANN DUFFY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA19917) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19917) |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA19917) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2017-08-16 |