| NPI | 1811943426 |
|---|---|
| Former Name | TAMMY CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 132396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75347) |
| 364S00000X Clinical Nurse Specialist (Licence: KS 74694) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-10-27 |