| NPI | 1447022462 |
|---|---|
| Other Name | CARLY IVERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 236408) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95027632) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-05-07 |