| NPI | 1336755065 |
|---|---|
| Former Name | KATHERINE C ZAZULAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 025641) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 25641) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-01-30 |