| NPI | 1700289378 |
|---|---|
| Former Name | KATHINA SHEETS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01227) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL3373) |
| 363A00000X Physician Assistant (Licence: MA PA7576) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2020-07-02 |