| NPI | 1972959658 |
|---|---|
| Former Name | KATHLEEN MARGARET MCDEVITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00394800) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2023-12-22 |