NPI | 1952907917 |
---|---|
Former Name | KAITLYN ANNE SWARTZLANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023619) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP023619) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2022-08-26 |