NPI | 1386914042 |
---|---|
Former Name | CAREY L LAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP4976) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.009218) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2018-01-17 |