| NPI | 1457033680 |
|---|---|
| Former Name | CAITLIN ANN DIMAGGIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82458-121) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13-149412-121) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-11 |