NPI | 1760072870 |
---|---|
Other Name | MADDIE KRATZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 026421) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2021-01-22 |
Last Update Date | 2021-03-08 |