NPI | 1538198130 |
---|---|
Former Name | CAROLYN L SPALDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP006628B) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R152040) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2018-04-24 |