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 |