| NPI | 1356575864 |
|---|---|
| Former Name | CAROL DEANE BENEDICT MITNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD040698) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2019-10-04 |