NPI | 1396184198 |
---|---|
Former Name | CAROLE LYNN ECKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024170855) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170855) |
Enumeration Date | 2013-06-14 |
Last Update Date | 2025-01-27 |