| NPI | 1316485667 |
|---|---|
| Former Name | KATHRYN MCVAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 3164) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MS PA00503) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2021-10-15 |