| NPI | 1942530001 |
|---|---|
| Former Name | KATE L BOETTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MT MED-PAC-LIC-607) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 607) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2022-02-24 |