NPI | 1508360900 |
---|---|
Former Name | CAYLIN L COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: AR PA-782) |
Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: AR PA-782) |
363A00000X Physician Assistant (Licence: AR PA-782) | |
363A00000X Physician Assistant (Licence: MO 20180044871) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2021-05-26 |