NPI | 1598380081 |
---|---|
Former Name | KAITLIN KRAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704342342) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704342342) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 202017177) | |
Enumeration Date | 2020-06-10 |
Last Update Date | 2023-12-26 |