| NPI | 1770194003 |
|---|---|
| Former Name | KATHLEEN ANN MAHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10863) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-10863) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2024-04-05 |