NPI | 1366130072 |
---|---|
Former Name | CAROLINE ROBERTS PHARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5018025) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018025) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-10-06 |