NPI | 1235892951 |
---|---|
Former Name | ALISON ROSE CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN247674) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN247674) |
Enumeration Date | 2021-10-19 |
Last Update Date | 2021-10-29 |