| NPI | 1609450816 |
|---|---|
| Former Name | CARLYE MINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 0411R) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2022-02-21 |