| NPI | 1740884501 |
|---|---|
| Former Name | CAROLYN ANNE RICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32744) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61112898) |
| 363L00000X Nurse Practitioner (Licence: WA AP61112898) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2024-01-17 |