NPI | 1134409675 |
---|---|
Former Name | CAROLINE REBECCA CLARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 38248) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL38248) |
Enumeration Date | 2011-08-27 |
Last Update Date | 2021-06-04 |