| NPI | 1952670754 |
|---|---|
| Former Name | KATHRYN E. BEVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 3334) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 3334) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2016-06-01 |