| NPI | 1760137400 |
|---|---|
| Former Name | KATHERINE BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 12494156-1206) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 12494156-1206) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2025-07-29 |