NPI | 1073079430 |
---|---|
Other Name | KATHRYN CARLISLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201901242NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN261173) |
163W00000X Registered Nurse (Licence: OR 201901189RN) | |
Enumeration Date | 2019-02-11 |
Last Update Date | 2023-04-18 |