| NPI | 1043576168 |
|---|---|
| Former Name | KAITLYN M SILBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14840) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 5254) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-03-18 |