NPI | 1992055313 |
---|---|
Former Name | KAITLIN A KILLIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055655) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055655) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2021-08-27 |