NPI | 1659826667 |
---|---|
Former Name | CHRISTIE SHERIN CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R271638) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP023919) |
Enumeration Date | 2016-08-19 |
Last Update Date | 2025-08-05 |