NPI | 1861656647 |
---|---|
Former Name | CARRIE LORRAINE HILLENBRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00164300) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009854) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2015-03-02 |