NPI | 1457653347 |
---|---|
Former Name | KATHERINE COMBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 19475) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 3029) |
Enumeration Date | 2010-11-26 |
Last Update Date | 2023-11-27 |