NPI | 1669902706 |
---|---|
Former Name | LUCY DELANEY CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017008078) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77690) |
Enumeration Date | 2017-06-12 |
Last Update Date | 2022-07-21 |