| NPI | 1215244793 |
|---|---|
| Former Name | CARLIE G WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID 1140-A) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2019-11-19 |