NPI | 1952950701 |
---|---|
Former Name | KAITLIN MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012210) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5012210) |
Enumeration Date | 2019-09-04 |
Last Update Date | 2024-02-22 |