| NPI | 1376941799 |
|---|---|
| Former Name | CAROLYN FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9421537) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704267111) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2017-11-09 |