NPI | 1912630930 |
---|---|
Former Name | KATHERINE STARR HARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1907) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2022-07-07 |
Last Update Date | 2022-11-30 |