| NPI | 1972266906 |
|---|---|
| Former Name | CARLA SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN232728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 232728) |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2021-11-04 |