| NPI | 1295257285 |
|---|---|
| Former Name | KATELYNN ELIZABETH AUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 5636) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 2017026689) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-12-27 |