| NPI | 1649727306 |
|---|---|
| Former Name | CAITLIN MEREDITH DEBOEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06516) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00405600) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2021-08-24 |