NPI | 1437227832 |
---|---|
Former Name | KATHRYN M PASSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003675) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA52862) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2023-11-21 |