| NPI | 1164788519 |
|---|---|
| Former Name | NAKESHIA LYNN CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170001) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170001) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2024-06-05 |