NPI | 1114591336 |
---|---|
Former Name | KAITLIN MARIE RHODES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2021017273) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2015003836) |
Enumeration Date | 2021-05-13 |
Last Update Date | 2021-05-15 |