| NPI | 1144289463 |
|---|---|
| Former Name | JODI CARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 027179-23-08) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-12 |