| NPI | 1104828961 |
|---|---|
| Former Name | DEBRA ANNE CARBONARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 51980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 9837) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2014-10-06 |