| NPI | 1962557470 |
|---|---|
| Former Name | KATHERINE MARIE BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 002902) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001000790) |
| 363A00000X Physician Assistant (Licence: AL PA-591) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-06-26 |