| NPI | 1205110541 |
|---|---|
| Former Name | CAROLYN ELIZABETH MCFEATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055093) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002722) |
| 363A00000X Physician Assistant (Licence: MD C0004554) | |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2016-07-14 |