| NPI | 1245581586 |
|---|---|
| Former Name | CAITLIN MARIE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055706) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00293800) |
| 363A00000X Physician Assistant (Licence: PA OA002921) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2020-12-28 |