| NPI | 1871197129 |
|---|---|
| Former Name | CAROLYN BARTON RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 33740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000185618) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2023-11-16 |