| NPI | 1134311152 |
|---|---|
| Former Name | CARRIEANNE MULVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 007655) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053864) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-10-27 |