NPI | 1902313935 |
---|---|
Former Name | CARRIE ANN HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 272149) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 272149) |
363L00000X Nurse Practitioner (Licence: MN 5283) | |
Enumeration Date | 2017-12-28 |
Last Update Date | 2024-08-23 |