| NPI | 1306310131 |
|---|---|
| Former Name | KAITLYN M CASTONGUAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019135) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-02-09 |