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