NPI | 1699755108 |
---|---|
Former Name | KATIE ANN KUROSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 010681) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA06286) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2017-02-01 |