NPI | 1477195790 |
---|---|
Former Name | CAITLYN DIANE HELM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9112642) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9112642) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2023-04-10 |