NPI | 1821542564 |
---|---|
Former Name | KATELYN M STRITTMATHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0006738) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10002090A) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2018-07-11 |