NPI | 1205155660 |
---|---|
Former Name | ROCHELLE RENEE CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201394154NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 19817) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2014-06-27 |