| NPI | 1457480501 |
|---|---|
| Former Name | KATIE ELIZABETH SCANLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000604) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DC PA030461) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-03-03 |