| NPI | 1679885230 |
|---|---|
| Former Name | CARRIE ANN NALISNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 73337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 73337) |
| 208000000X Pediatrics (Licence: MO 2010017244) | |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2019-10-30 |