| NPI | 1619211265 |
|---|---|
| Other Name | KATHERINE ANNE WATTAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107163) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107163) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2025-06-27 |