NPI | 1033763081 |
---|---|
Former Name | CAITLIN SIMINERIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26176) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 0000026176) |
Enumeration Date | 2019-07-29 |
Last Update Date | 2022-11-08 |