NPI | 1992735385 |
---|---|
Former Name | KATHERINE M BOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1754-023) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002263) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2009-01-29 |