| NPI | 1598715211 |
|---|---|
| Former Name | CAROL PURDY WORRILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102049937) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 0102049937) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-07-25 |