| NPI | 1871044198 |
|---|---|
| Former Name | CAITLIN R WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10002147A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002147A) |
| 363AM0700X Physician Assistant, Medical (Licence: IN 10002147A) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2024-09-26 |