NPI | 1215906714 |
---|---|
Former Name | CAROL S TERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0670) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN054223) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2014-04-23 |