| NPI | 1720269400 |
|---|---|
| Former Name | CARRIE ANN RENEE O'NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 010120242) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2018-06-11 |