| NPI | 1568182251 |
|---|---|
| Former Name | GABRIELLE RENEE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041464080) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-11-22 |