| NPI | 1295330694 |
|---|---|
| Former Name | KATHERINE TINAJERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61511235) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2358) |
| 363A00000X Physician Assistant (Licence: CA 58655) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-04-30 |