NPI | 1730635137 |
---|---|
Former Name | KATHERINE NAVARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005242RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53677) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2019-06-18 |