NPI | 1013937473 |
---|---|
Former Name | MICHELE CARLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00041130) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD22410) |
207Q00000X Family Medicine (Licence: CO DR.0067303) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2022-04-12 |