| NPI | 1316254428 |
|---|---|
| Former Name | KATHERINE R BONELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004319) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2024-07-25 |