| NPI | 1639622715 |
|---|---|
| Former Name | KATHRINE W GAMMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12226) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2020-10-09 |