NPI | 1619201563 |
---|---|
Former Name | KATHERINE A BYRNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601009701) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4517) |
Enumeration Date | 2009-09-24 |
Last Update Date | 2022-03-18 |