| NPI | 1568803211 |
|---|---|
| Former Name | KATHRYN ELIZABETH KLEINEDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006903) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016677) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-02-27 |