| NPI | 1194966937 |
|---|---|
| Former Name | CAROLYN VIRGINIA GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 2008011126) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2011-08-29 |