| NPI | 1326322918 |
|---|---|
| Former Name | KATHLEEN MARIE KAPOLKA, PARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 006785) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2011032949) |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2020-04-22 |