| NPI | 1407197072 |
|---|---|
| Other Name | CAROLYN WATERBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 005298) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F337508-1) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2017-03-24 |