NPI | 1538411483 |
---|---|
Former Name | KYLEIGH L CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61395969) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2023-01-17 |