NPI | 1760159156 |
---|---|
Former Name | CAITLIN JEAN SCHIRMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-11312) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-11312) |
Enumeration Date | 2021-08-24 |
Last Update Date | 2023-11-16 |