NPI | 1184134371 |
---|---|
Former Name | JAZMYN PRINCESS CARROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60926405) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60926405) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-10-03 |
Last Update Date | 2023-08-08 |