| NPI | 1790254829 |
|---|---|
| Former Name | CAITLIN SCHULTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 101611) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176795) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-04-11 |