| NPI | 1326599713 |
|---|---|
| Former Name | CAITLIN NICOLE HAENIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 022047) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 22047) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-06-30 |