| NPI | 1558072439 |
|---|---|
| Former Name | CARRIE ELLEN PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1089880) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |