NPI | 1922481399 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA ANN CARLEE Trauma Practitioner A RN P 772-485-6179 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9288084) |
Enumeration Date | 2015-07-03 |
Last Update Date | 2015-07-03 |