| NPI | 1699071787 |
|---|---|
| Former Name | KATHERINE A CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.003468) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.003468) |
| 363A00000X Physician Assistant (Licence: OH 50.003468) | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2016-10-26 |