| NPI | 1124090824 |
|---|---|
| Former Name | CAROL SLOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS10733) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MO 118324) |
| 207Q00000X Family Medicine (Licence: MO 118324) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-06-17 |