NPI | 1275882409 |
---|---|
Former Name | KATHRYN ELIZABETH SEITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA00711) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1805) |
Enumeration Date | 2012-09-04 |
Last Update Date | 2015-12-31 |