| NPI | 1861902835 |
|---|---|
| Former Name | KAITLIN MAE TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-12096) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12096) |
| 363A00000X Physician Assistant (Licence: NM PA2017-0094) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-09-28 |