| NPI | 1508316183 |
|---|---|
| Former Name | KATHLEEN ANN GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C08741) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058545) |
| 363AM0700X Physician Assistant, Medical (Licence: PA OA003931) | |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2023-01-11 |