| NPI | 1356382923 |
|---|---|
| Former Name | CARLA J RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 37633) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R7503) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-10-31 |