| NPI | 1205384906 |
|---|---|
| Former Name | CAROLYN MENZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 258185) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2017-02-26 |