| NPI | 1255734638 |
|---|---|
| Former Name | KATELYN MARIA SELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2225) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 2283) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2020-02-06 |