NPI | 1336329523 |
---|---|
Former Name | KATHRYN ANN HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA1284) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: ID PA1284) |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: AL PA1373) | |
363A00000X Physician Assistant (Licence: AL PA1373) | |
Enumeration Date | 2007-11-06 |
Last Update Date | 2021-12-16 |