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 |