NPI | 1326592890 |
---|---|
Former Name | CHRISTINE CARVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 066818-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 066818-21) |
163W00000X Registered Nurse (Licence: MA RN2280830) | |
Enumeration Date | 2016-08-12 |
Last Update Date | 2019-10-22 |