| NPI | 1194710376 |
|---|---|
| Former Name | CARLA DOUGLAS-MCKINLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7101) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 7101) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2025-01-23 |