NPI | 1932489580 |
---|---|
Former Name | KATHERINE FRANCES ROITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11018) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 11018) |
Enumeration Date | 2011-08-26 |
Last Update Date | 2023-08-04 |