NPI | 1669094652 |
---|---|
Former Name | CARTER LYNNE CHAMBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345457) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711035) |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-12 |