NPI | 1396047494 |
---|---|
Former Name | KATHARINE ROSE MUENZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003671) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001657A) |
Enumeration Date | 2010-11-22 |
Last Update Date | 2015-04-17 |