| NPI | 1649628413 |
|---|---|
| Former Name | KATHERINE GRACE KAMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60680690) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-11-08 |