| NPI | 1063707149 |
|---|---|
| Former Name | KIMBERLY JAYNETTE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C175490) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2022-10-10 |