| NPI | 1285083212 |
|---|---|
| Former Name | KAITLIN M BRUBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004194) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059147) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-08-15 |