NPI | 1821315912 |
---|---|
Former Name | KATE D CORRIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA156507) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA156507) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2021-02-05 |