| NPI | 1740768597 |
|---|---|
| Former Name | CAITLYN CHRISTINE MCKINLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA ATH.200387) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |