| NPI | 1619485703 |
|---|---|
| Former Name | KAITLIN TAYLOR MEADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2024-06-07 |