| NPI | 1851882260 |
|---|---|
| Former Name | KATHRYN ELIZABETH LEVINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8833) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2023-01-25 |