NPI | 1063761930 |
---|---|
Former Name | CAITLIN A JOLDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2268538) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R200375) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2015-05-04 |