NPI | 1417426800 |
---|---|
Former Name | KATHERINE M HANNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA060404) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA060404) |
Enumeration Date | 2018-11-15 |
Last Update Date | 2025-01-02 |