| NPI | 1669472312 |
|---|---|
| Former Name | CATHERINE ALEXANDRA GARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085001460) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10000540A) |
| 363AS0400X Physician Assistant, Surgical (Licence: WI 2684-023) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2021-12-17 |