| NPI | 1972804243 |
|---|---|
| Former Name | KATE EVANGELIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA031060) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA.60182624) |
| 363A00000X Physician Assistant (Licence: NC 0010-03315) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2014-07-29 |