| NPI | 1669734968 |
|---|---|
| Former Name | CARRIE ELISE YEAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2019024779) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036142583) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2025-02-05 |