| NPI | 1902189632 |
|---|---|
| Former Name | KATELYN E WITTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04375) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-003301) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2013-11-18 |