NPI | 1972903839 |
---|---|
Former Name | KATHRYN REGINA KAUFMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12465) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001749A) |
Enumeration Date | 2014-08-28 |
Last Update Date | 2022-07-21 |