NPI | 1528311339 |
---|---|
Former Name | KATHERINE TOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: RI PA01107) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 002811) |
363A00000X Physician Assistant (Licence: RI PA01107) | |
Enumeration Date | 2012-10-17 |
Last Update Date | 2019-11-26 |