| NPI | 1912390253 |
|---|---|
| Former Name | CAITLIN LEIGH CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA12191) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9108543) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2024-07-03 |