NPI | 1053051482 |
---|---|
Former Name | KAITLYN CROTTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024182622) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024182622) |
Enumeration Date | 2022-04-01 |
Last Update Date | 2025-01-27 |