| NPI | 1730571365 |
|---|---|
| Former Name | CAROLYN MONROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009123) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 3009123) |
| 367H00000X Anesthesiologist Assistant (Licence: KY 3009123) | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2020-04-20 |