| NPI | 1215445275 |
|---|---|
| Former Name | KATHRYN L MAYO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12641) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55268) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2023-12-04 |