| NPI | 1740710722 |
|---|---|
| Former Name | CARRIE ELAINE BISHOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21254) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F05170251) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2020-10-15 |