NPI | 1982661450 |
---|---|
Former Name | KATHRYN ANN SHEETS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-00317) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-00317) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2024-02-01 |