| NPI | 1174067771 |
|---|---|
| Former Name | CAITLIN SIPPEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: DC PA200001603) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110-009044) |
| 363AS0400X Physician Assistant, Surgical (Licence: MD C08789) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-06894) | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2023-12-01 |