| NPI | 1467670174 |
|---|---|
| Former Name | CAROLYN ELIZABETH MOBLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F346211) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP136125) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F346211) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP136125) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NY F383143) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP136125) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-05-22 |