NPI | 1003981796 |
---|---|
Former Name | CAROLE E TOLBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002294A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002294A) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2024-12-19 |