| NPI | 1427520170 |
|---|---|
| Former Name | KATHERINE JANE KITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1455) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: AL 1630) |
| 363A00000X Physician Assistant (Licence: AL TA.1872) | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2019-03-10 |