| NPI | 1932762564 |
|---|---|
| Former Name | KATHERINE ELIZABETH MCNEILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3239) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2023-01-21 |