NPI | 1083297188 |
---|---|
Former Name | CAITLYN LANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2302968) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-05-05 |
Last Update Date | 2023-05-24 |