| NPI | 1518047133 |
|---|---|
| Former Name | CARAMARIE C BROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004514) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601004514) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-06-18 |