| 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) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087707) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-06-17 |