NPI | 1235247040 |
---|---|
Former Name | KATHERINE ELIZABETH BOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3480) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005351) |
363A00000X Physician Assistant (Licence: CA PA17844) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2024-10-18 |