NPI | 1851633648 |
---|---|
Former Name | MARTHA HAYDEN CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-104916) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1-104916) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2024-02-01 |