NPI | 1972555795 |
---|---|
Former Name | CHRISTINE CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP004327B) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9231344) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2015-10-19 |