| NPI | 1346584661 |
|---|---|
| Former Name | KATHERINE MOTHERSHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007154) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60694060) |
| 363A00000X Physician Assistant (Licence: NY 1106013) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2022-06-13 |