| NPI | 1245502483 |
|---|---|
| Former Name | KATIE JO PERPICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO MSPA.0000004) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 10941) |
| 363A00000X Physician Assistant (Licence: AZ 5217) | |
| 363A00000X Physician Assistant (Licence: NC 0010-06359) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2021-09-21 |