| NPI | 1548739451 |
|---|---|
| Former Name | NATALIE REBEKAH KITTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA12541) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2021-07-01 |