| NPI | 1942671201 |
|---|---|
| Former Name | KAITLYN DON PROULX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 2348) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 7142) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-12-21 |