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 |