| NPI | 1457068280 |
|---|---|
| Former Name | BAILY DAWN CARLYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022043254) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2022065061) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-18 |