| NPI | 1215461595 |
|---|---|
| Former Name | CARRIE AMANDA WORBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704261734) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-04-16 |