NPI | 1528500527 |
---|---|
Former Name | CAITLYN MARIE STILLINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 56752) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN83013) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2019-06-29 |