NPI | 1316332026 |
---|---|
Former Name | CARRIE RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A22981) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 007792) |
207Q00000X Family Medicine (Licence: AZ 007792) | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2024-09-10 |