| NPI | 1881046381 |
|---|---|
| Former Name | CARRIE ANN EASTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172902) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |