| 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 |