| NPI | 1255514618 |
|---|---|
| Former Name | CAITLIN ELIZABETH WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA A93600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A93600) |
| 208000000X Pediatrics (Licence: CA A93600) | |
| 2080P0210X Pediatrics Pediatric Nephrology (Licence: CA A93600) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2020-01-30 |