| NPI | 1104178045 |
|---|---|
| Former Name | CAITLIN M. REGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004008) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001435A) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2019-05-17 |