| NPI | 1972163376 |
|---|---|
| Former Name | CAITLYN MARIE SCHREIB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7372) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024864-01) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-11-22 |