NPI | 1750369633 |
---|---|
Former Name | KATHERINE LYNN SENSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1022) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001815A) |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical (Licence: KY PA1022) | |
Enumeration Date | 2006-01-03 |
Last Update Date | 2018-12-26 |