NPI | 1740235779 |
---|---|
Former Name | KATHERINE E BENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA-053677) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002292) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2021-09-08 |