| 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 |