| NPI | 1326602137 |
|---|---|
| Former Name | KATHRYN ELIZABETH ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3201) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC TL3201) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2021-06-01 |