| NPI | 1770995649 |
|---|---|
| Former Name | CAROLYN JANE HABLITZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125985) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 661649) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2021-06-29 |