NPI | 1598087496 |
---|---|
Former Name | KAITLIN MCCANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9278566) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9278566) |
Enumeration Date | 2010-02-18 |
Last Update Date | 2011-10-07 |