NPI | 1932730157 |
---|---|
Former Name | KATHRYNE JOHANNE O'KEEFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13666) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 099600) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2024-11-21 |