| NPI | 1508213794 |
|---|---|
| Former Name | CATHERINE A. HORNBUCKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: WA PA60644274) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60644274) |
| 363AS0400X Physician Assistant Surgical (Licence: WA PA60644274) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2023-10-26 |