NPI | 1992460216 |
---|---|
Former Name | CARINA CORNELLA ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30491) |
Enumeration Date | 2021-11-02 |
Last Update Date | 2022-05-20 |