| NPI | 1083187934 |
|---|---|
| Former Name | CARLEIGH JEAN FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 101798) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-11-07 |