| NPI | 1174246383 |
|---|---|
| Former Name | CAITLIN ELIZZBETH HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004613-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202214725NP-PP) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-11-08 |