| NPI | 1255560553 |
|---|---|
| Former Name | KATHERINE ANNE STILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10624) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2481-23) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2015-06-30 |