| NPI | 1063400760 |
|---|---|
| Other Name | PATRICIA RUTH CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AZ17334) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 17334) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2014-03-27 |