NPI | 1477841872 |
---|---|
Former Name | KATHERINE A CAVORSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054926) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4617) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2015-09-14 |