NPI | 1336267707 |
---|---|
Former Name | CAROLINE LOUISE KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD151091) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301087707) |
207Q00000X Family Medicine (Licence: WA MD60644334) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087707) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2024-12-09 |