Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MA060328 | PA |
NPI | 1013486448 |
---|---|
Provider Name | Katharine Theresa Ressler |
First Address | Warren, PA 16365-2015 |
Second Address | Erie, PA 16505-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2018 |
Last Update Date | 26/01/2022 |