| NPI | 1689310351 |
|---|---|
| Former Name | CAITLIN ROSE JUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9410) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2288192) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-11-15 |