| NPI | 1679059240 |
|---|---|
| Former Name | CAITLYN JUSTINE ASBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.006522RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WV 2179) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2020-11-13 |