NPI | 1083815922 |
---|---|
Former Name | GINA MARIE CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: OR LL16522) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2007-07-08 |