| NPI | 1275175093 |
|---|---|
| Former Name | CARRIE ELIZABETH LAXTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 23317) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-11-19 |