| NPI | 1386913556 |
|---|---|
| Former Name | KATHERINE ANN HIMMERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030815) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006424) |
| Enumeration Date | 2011-12-18 |
| Last Update Date | 2023-05-04 |