| NPI | 1306219688 |
|---|---|
| Former Name | CROLINE MURRAY CANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1016495) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1016495) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2020-01-30 |