NPI | 1730467028 |
---|---|
Former Name | CARRIE HINKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 4928) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2011-08-03 |
Last Update Date | 2022-10-26 |