| NPI | 1497195556 |
|---|---|
| Former Name | KATHERINE E KOLB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 5901) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08704) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2019-02-25 |