NPI | 1013280379 |
---|---|
Former Name | ANNA SUSAN CARSTENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2276517) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2276517) |
Enumeration Date | 2012-02-17 |
Last Update Date | 2015-07-13 |