| NPI | 1275967549 |
|---|---|
| Former Name | KATHERINE JUNE MALONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA51616) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016852) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2015-03-17 |