| NPI | 1659497873 |
|---|---|
| Former Name | ELLEN JANE CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30006602) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RN460884-5524) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |