NPI | 1548534647 |
---|---|
Former Name | ANNA S. CARLTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011124) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 16503) |
Enumeration Date | 2012-03-07 |
Last Update Date | 2017-04-20 |