| NPI | 1225497118 |
|---|---|
| Former Name | KAITLYN BROOKE BARGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08256) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC MPA.2498 TL) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2024-04-19 |