| NPI | 1144635749 |
|---|---|
| Former Name | CAROLINE RAE KOVALESKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0073891) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A139752) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-01-03 |