| NPI | 1144482993 |
|---|---|
| Former Name | CARLY BETH BOHRER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2010-01341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME115981) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2018-02-07 |