| NPI | 1871131789 |
|---|---|
| Other Name | KATIE KITZENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9785) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2023-10-05 |