NPI | 1003160177 |
---|---|
Former Name | CARLY RAE TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-122277) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AL 1-122277) |
Enumeration Date | 2012-10-29 |
Last Update Date | 2020-12-17 |