NPI | 1891270674 |
---|---|
Former Name | KATHRYN D BENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 8172-23) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KS 15-02145) |
Enumeration Date | 2018-09-27 |
Last Update Date | 2025-02-03 |