| NPI | 1720011869 |
|---|---|
| Former Name | CAROLYN L ESCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO R2J61) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 32701) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036.098923) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-11-09 |