| NPI | 1366854481 |
|---|---|
| Former Name | CAROL WOLCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2271151) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2271151) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |