NPI | 1487984662 |
---|---|
Former Name | JESSICA CHERYL CARVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704259791) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704259791) |
363L00000X Nurse Practitioner (Licence: MI 4704259791) | |
Enumeration Date | 2010-01-11 |
Last Update Date | 2024-08-15 |