| NPI | 1760163612 |
|---|---|
| Former Name | KAITLYN TAYLOR BAUDILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 031017) |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2026-08-05 |