NPI | 1821248659 |
---|---|
Former Name | KATE LAUREN BRATCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104795) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104795) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2014-12-09 |