NPI | 1215223011 |
---|---|
Former Name | CAITLIN A. HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2268039) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 064334-23) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2015-10-22 |