| NPI | 1457720724 |
|---|---|
| Former Name | MARY KATELYNN HARDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2024) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002217A) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2018-08-03 |