NPI | 1154300390 |
---|---|
Former Name | CAROL LYNN GILCHRIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5414) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 1230) |
363LF0000X Nurse Practitioner, Family (Licence: AZ RN110558) | |
Enumeration Date | 2006-01-16 |
Last Update Date | 2018-12-28 |