| NPI | 1699286716 |
|---|---|
| Former Name | KAITLYN ANN CHAPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059468) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363A00000X Physician Assistant (Licence: PA OA004319) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-10-02 |