| NPI | 1689923047 |
|---|---|
| Other Name | KATIE MARIE MINCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 003020) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 003020) |
| 363A00000X Physician Assistant (Licence: NY 016038) | |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 003020) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2017-11-16 |