| NPI | 1639442262 |
|---|---|
| Former Name | KATIE LYNNE MESSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1638) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1103222) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-11-08 |