| NPI | 1841524501 |
|---|---|
| Former Name | KATHLEEN MARIE SWIFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 25419) |
| 363AM0700X Physician Assistant, Medical (Licence: GA 1949) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2023-07-03 |