| NPI | 1306387436 |
|---|---|
| Former Name | CARRIE MARIE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0001055-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP134455) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2022-08-08 |