| NPI | 1508123803 |
|---|---|
| Former Name | DIANA MAY CARBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: FL TT3079) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |