| NPI | 1306387436 |
|---|---|
| Former Name | CARRIE MARIE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134455) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TELE309270) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61519165) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 879355) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2024-11-06 |