| NPI | 1669741732 |
|---|---|
| Former Name | CAROL STANLEY PFAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 073227-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN259665) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2020-02-22 |