| NPI | 1194720797 |
|---|---|
| Former Name | CAITLYN GRAHAM BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9111020) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA111020) |
| 363A00000X Physician Assistant (Licence: FL PA91111020) | |
| 363AM0700X Physician Assistant, Medical (Licence: IN 10000698A) | |
| 363AS0400X Physician Assistant, Surgical (Licence: IN 10000698A) | |
| 363AS0400X Physician Assistant, Surgical (Licence: IN 10000698) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-10-26 |