NPI | 1952851784 |
---|---|
Former Name | KATELYN MICHELLE SPITLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024175199) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-130379) |
363L00000X Nurse Practitioner (Licence: TN 23079) | |
Enumeration Date | 2016-10-05 |
Last Update Date | 2025-09-24 |