| NPI | 1902448301 |
|---|---|
| Former Name | CARRIE ELIZABETH MCGREW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903621) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |