| NPI | 1467861641 |
|---|---|
| Former Name | KAITLIN GANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS019611) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT016460) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2021-06-22 |