| NPI | 1356105712 |
|---|---|
| Other Name | KAITLIN BRIANNA MITTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406133-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 751604) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-08-08 |