| NPI | 1861772907 |
|---|---|
| Former Name | CATHERINE TA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 3254) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-03060) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2016-12-13 |