| NPI | 1053681908 |
|---|---|
| Other Name | CARRIE ALLRED PETTIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006138) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 729727) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2016-09-07 |