NPI | 1407565914 |
---|---|
Former Name | KATIE REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1439) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 9640) |
363A00000X Physician Assistant | |
Enumeration Date | 2022-11-23 |
Last Update Date | 2025-01-24 |