| NPI | 1588041115 |
|---|---|
| Former Name | CARRIE PINKHAM-REIDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201500822NP-PP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201500822NP-PP) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |