NPI | 1932223864 |
---|---|
Former Name | KATHLEEN ELLEN CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR OR 090006549N7) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30002246) |
Enumeration Date | 2007-03-17 |
Last Update Date | 2007-07-08 |