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 |