| NPI | 1518394196 |
|---|---|
| Former Name | J. CAROL ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL CNS9457676) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN241276) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6927) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-05-17 |