NPI | 1710314414 |
---|---|
Former Name | KATHRYN FLANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA08680) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08680) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2019-01-28 |