| NPI | 1689346611 |
|---|---|
| Former Name | CAITLYN JOAN RISLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4835) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-09-12 |