| NPI | 1518391184 |
|---|---|
| Former Name | KATE M HENDERLONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07202) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00309500) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2024-07-25 |