NPI | 1760222046 |
---|---|
Former Name | KARTER DENMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024041196) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015039223) |
Enumeration Date | 2024-05-25 |
Last Update Date | 2024-12-12 |