NPI | 1295192441 |
---|---|
Former Name | KATHERINE ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60888465) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60888465) |
Enumeration Date | 2016-01-19 |
Last Update Date | 2024-12-09 |