| NPI | 1689044554 |
|---|---|
| Former Name | KATHRYN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058835) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0005947) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2019-03-27 |