NPI | 1881763324 |
---|---|
Former Name | ELLEN BURNETT CARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20281) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L002649) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2021-05-31 |