| NPI | 1477969319 |
|---|---|
| Former Name | KATHERINE MAUREAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60909642) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601007039) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-03-06 |