| NPI | 1184256182 |
|---|---|
| Former Name | CARLISA M GATLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0000344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0055631) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000344) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000344) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |