| NPI | 1255183174 |
|---|---|
| Former Name | ALLISON ROSE CARRICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 36023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 36023) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-10-02 |