NPI | 1386908101 |
---|---|
Former Name | CAITLYN MCNAMARA SCHALICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 3605) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015672) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2021-05-04 |