NPI | 1083384218 |
---|---|
Former Name | CAITLYN MARIEL PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013304A) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28244460A) |
Enumeration Date | 2021-09-18 |
Last Update Date | 2023-11-15 |