| NPI | 1770034084 |
|---|---|
| Former Name | CAITLYNN WATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058693) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005342) |
| 363AM0700X Physician Assistant Medical (Licence: PA MA058693) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2024-10-03 |