NPI | 1285363309 |
---|---|
Former Name | KATHERINE R LOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 028866) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 28866) |
Enumeration Date | 2022-06-06 |
Last Update Date | 2024-10-11 |