NPI | 1508006271 |
---|---|
Former Name | KATHRYN M PASTERNAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005109) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06114) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2018-03-17 |