| NPI | 1699391326 |
|---|---|
| Former Name | KAITLIN JOY HAGGERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10339-33) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2020010029) |
| 163W00000X Registered Nurse (Licence: WI 200595-30) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-03-26 |