NPI | 1336543420 |
---|---|
Former Name | KATHRYN FRANCES CHREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200749) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2014-10-17 |
Last Update Date | 2023-06-06 |