| NPI | 1043533763 |
|---|---|
| Former Name | CAROLYN WILMA HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP-09414) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-09414) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2013-12-11 |