NPI | 1366819955 |
---|---|
Former Name | STACY A. CARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D84138) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 6901) |
208000000X Pediatrics (Licence: MD D84138) | |
Enumeration Date | 2015-08-31 |
Last Update Date | 2018-04-06 |