| NPI | 1427396068 |
|---|---|
| Former Name | MAIJA CARRIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95005696) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209010270) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3009369) | |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2017-01-12 |