| NPI | 1851025613 |
|---|---|
| Former Name | CAITLIN MIYAZAKI |
| 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 | 2025-06-12 |