| NPI | 1225288921 |
|---|---|
| Former Name | PATRICE RENEE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME155086) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036117915) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2023-01-30 |