NPI | 1336642131 |
---|---|
Former Name | CAITLIN ANNA GIESEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 5936) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 5936) |
Enumeration Date | 2018-03-18 |
Last Update Date | 2021-06-24 |