NPI | 1689086209 |
---|---|
Former Name | HEATHER CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9263758) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9263758) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2022-11-15 |