| NPI | 1346022456 |
|---|---|
| Former Name | CARLY JOY GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN627642) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-02-14 |