NPI | 1588384499 |
---|---|
Former Name | CAITLIN MICHELLE SCHULTICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026650) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN657440) |
Enumeration Date | 2022-08-31 |
Last Update Date | 2023-02-16 |