| NPI | 1598547028 |
|---|---|
| Former Name | KAITLYN ELIZABETH PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14470) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14470-33) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-02-05 |