| NPI | 1790278430 |
|---|---|
| Former Name | KATHERINE MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08161) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA061648) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-04-26 |