NPI | 1568868180 |
---|---|
Former Name | CAITLIN E OWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 2720) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2720) |
Enumeration Date | 2014-11-10 |
Last Update Date | 2023-03-23 |