NPI | 1801830203 |
---|---|
Former Name | KATE ELIZABETH AUGUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110005809) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 4915) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2022-11-30 |