| NPI | 1891030789 |
|---|---|
| Former Name | KATHARINE J EBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 1082) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 2236) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2017-01-03 |