| NPI | 1477924470 |
|---|---|
| Former Name | KAITLYN SALPIETRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MT MED-PAC-LIC-43627) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-43627) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2021-12-14 |