NPI | 1851025613 |
---|---|
Former Name | CAITLIN RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95026585) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95029995) |
Enumeration Date | 2022-07-15 |
Last Update Date | 2023-10-06 |