| NPI | 1144586405 |
|---|---|
| Former Name | CARLA CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 63237) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 63237) |
| 208M00000X Hospitalist (Licence: FL ME147928) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2023-06-30 |