| NPI | 1740626894 |
|---|---|
| Former Name | DARDEN CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-01287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 91495921205) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-08-04 |