NPI | 1215266747 |
---|---|
Former Name | KATE BRIELLE ZEBATTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60694683) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 002998) |
Enumeration Date | 2009-12-11 |
Last Update Date | 2018-08-05 |