| NPI | 1447604202 |
|---|---|
| Former Name | CAROLYN ELLSWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 299061) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 299061) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2021-05-27 |