| NPI | 1386451615 |
|---|---|
| Former Name | MIRANDA ALEXIS CARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 24192047) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |