| NPI | 1033593223 |
|---|---|
| Former Name | CARLEEN MARIE BYRD/MCKEEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN applied for) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2016-08-01 |