| NPI | 1467911750 |
|---|---|
| Former Name | KAITLEN COOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-53871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022035445) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2025-03-03 |