| NPI | 1437705159 |
|---|---|
| Former Name | CAITLIN VANDIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 95011200) |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2023-10-16 |