| NPI | 1891205365 |
|---|---|
| Former Name | CAITLIN EMILY BOOHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: AZ 6920) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6920) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2022-12-15 |