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 |