| NPI | 1154768224 |
|---|---|
| Former Name | CAITLIN ELIZABETH MARTZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704267568) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-03-04 |