| NPI | 1205099033 |
|---|---|
| Former Name | LONI M CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA4430) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002107) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2016-11-03 |