| NPI | 1861139826 |
|---|---|
| Former Name | CARRIE LYNNE WOLVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997592-NP) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2023-09-15 |