NPI | 1073946562 |
---|---|
Former Name | RAELYNN M. CATRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5116) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN082278) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2024-06-14 |