| NPI | 1306872866 |
|---|---|
| Other Name | CAROLYN FONTANA STALVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236694) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2010-10-15 |