| NPI | 1629146915 |
|---|---|
| Former Name | CARRIE E GILLIAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 40873) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-03-17 |