NPI | 1700223823 |
---|---|
Former Name | KARREN ANNTONETT ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 2022008042) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL RN9200269) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2023-01-31 |