NPI | 1447364054 |
---|---|
Former Name | KARYN LEE CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201606020NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 13292) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2019-05-01 |