| NPI | 1992044663 |
|---|---|
| Former Name | CAITLIN PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08306) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2021-06-01 |