| NPI | 1336650431 |
|---|---|
| Former Name | KAITLYN MCGRAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008273) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006895) |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110008273) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-08-11 |