| NPI | 1700425758 |
|---|---|
| Former Name | CAROLYN EAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN199867) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11005571) |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2025-04-21 |