| NPI | 1134334147 |
|---|---|
| Former Name | CARLA J FYFFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002007A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002007A) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2023-12-07 |