| NPI | 1164241220 |
|---|---|
| Former Name | KAITLYN ELIZABETH VALAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R269227) |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |