| NPI | 1619039344 |
|---|---|
| Former Name | CARRIE LYNN SELIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 125211-030) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2023-12-08 |