NPI | 1982272837 |
---|---|
Former Name | KIM CAITLIN ALDERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN268140) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN268140) |
Enumeration Date | 2021-06-16 |
Last Update Date | 2021-06-16 |