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 |