| NPI | 1730343344 |
|---|---|
| Former Name | CARMEN VALERIA PITTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A124838) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P4173) |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2013-09-03 |