NPI | 1124009261 |
---|---|
Professional Name | CARRI L MAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 009577-1) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 0095771) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2014-04-28 |