| NPI | 1528151255 |
|---|---|
| Former Name | CAROLYN KNIGHT HAGLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 03004) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-03-07 |