NPI | 1477001469 |
---|---|
Former Name | KATHERINE MARY SCHOBLASKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA189920) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.007778) |
363A00000X Physician Assistant (Licence: NY 023971) | |
Enumeration Date | 2016-09-19 |
Last Update Date | 2025-01-06 |