| NPI | 1255823068 |
|---|---|
| Former Name | CARPENTER ANN CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018020107) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 78195) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2022-06-06 |