| NPI | 1770961294 |
|---|---|
| Former Name | CARMEN BRIANNE MASTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71005488A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005488A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28191595a) | |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2022-09-07 |