| NPI | 1902313935 |
|---|---|
| Former Name | CARRIE ANN HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 272149) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 5283) |
| 363L00000X Nurse Practitioner (Licence: AZ 272149) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2022-10-11 |