NPI | 1316045560 |
---|---|
Former Name | CARLENA K FRANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 6973) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN027329/APO1584) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |