NPI | 1205221009 |
---|---|
Former Name | CARRIE COLLEEN BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |