| NPI | 1013359231 |
|---|---|
| Former Name | CARRIE L HERBRANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111547) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 119576) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2017-03-15 |