NPI | 1770990962 |
---|---|
Former Name | KATHERINE CALDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019673) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA5073) |
Enumeration Date | 2014-07-19 |
Last Update Date | 2025-08-28 |