| NPI | 1346788916 |
|---|---|
| Former Name | KATHERINE M KAVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2104) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 086230) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2020-12-31 |