NPI | 1811399660 |
---|---|
Former Name | KATHERINE RACHEL FLEMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61249152) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005136) |
363A00000X Physician Assistant (Licence: CA 53336) | |
Enumeration Date | 2014-09-24 |
Last Update Date | 2022-04-25 |