NPI | 1235220302 |
---|---|
Former Name | KAMEKEA R CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 63616) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061132A) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2015-02-20 |