| NPI | 1447736947 |
|---|---|
| Former Name | KATHRYN GAUDINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57081) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 022278) |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 23.004211) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-06-05 |