| NPI | 1245983840 |
|---|---|
| Former Name | KATIE C ODVODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2705) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-07-03 |