| NPI | 1184298671 |
|---|---|
| Former Name | CAROLYN DEANNA POORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 950866896) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 950866896) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 950866896) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-09-01 |