| NPI | 1114222833 |
|---|---|
| Former Name | CAROLINE SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1956) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2022-06-08 |