| NPI | 1396412391 |
|---|---|
| Former Name | KAITLYN SARAYA SHOEMAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 4732) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-03-15 |