NPI | 1841303989 |
---|---|
Former Name | KAT PARKER SPRAGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 103969) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 103969) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2022-03-17 |