| NPI | 1871050492 |
|---|---|
| Former Name | KAITLYN RENEE CROCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11033202) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN272235) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2024-09-10 |