| NPI | 1477001469 |
|---|---|
| Former Name | KATHERINE MARY SCHOBLASKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023971) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA189920) |
| 363A00000X Physician Assistant (Licence: IL 085.007778) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2024-02-29 |