| NPI | 1932278736 |
|---|---|
| Former Name | KATIE LYNN SCHWAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000878A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10000878A) |
| 363A00000X Physician Assistant (Licence: FL PA9106575) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-07-29 |