| NPI | 1831463231 |
|---|---|
| Former Name | KATHLEEN ELIZABETH LIEBERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004295) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07666) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2024-01-03 |