NPI | 1821417221 |
---|---|
Former Name | CAITLIN HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286925) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016017) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2018-03-17 |