| NPI | 1801695051 |
|---|---|
| Former Name | KAITLYN FERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 0136000565) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |