NPI | 1801837802 |
---|---|
Former Name | KATHRYN L OPRANDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110001331) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110001331) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2020-09-15 |