| NPI | 1528654423 | 
|---|---|
| Former Name | CAITLIN ANN FIELD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013911) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 10200088) | 
| Enumeration Date | 2020-12-15 | 
| Last Update Date | 2024-07-30 |