NPI | 1154768224 |
---|---|
Former Name | CAITLIN ELIZABETH MARTZKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704267568) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704267568) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2025-06-11 |