| NPI | 1194046979 |
|---|---|
| Former Name | CARRIE FORAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029622) |
| 363L00000X Nurse Practitioner (Licence: OH COA13591-NP) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2024-06-14 |