| NPI | 1407589534 |
|---|---|
| Former Name | CATESBY PENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 2195) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 11104) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-11-22 |