| NPI | 1639426752 |
|---|---|
| Former Name | CAROL ANN JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2017029444) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA 9106633) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2017-12-06 |