| NPI | 1619419991 |
|---|---|
| Former Name | CATHERINE DAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2295) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.006063) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2022-04-26 |