| NPI | 1366778185 |
|---|---|
| Former Name | KATHERINE S MAXEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09901) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 200314) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2016-07-07 |