NPI | 1689193518 |
---|---|
Former Name | KATHRYN M TINARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006325) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2017-09-12 |
Last Update Date | 2023-09-19 |