| NPI | 1710297312 |
|---|---|
| Former Name | CARLA WILKS NEERING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006325) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 2497) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2012-04-25 |