| NPI | 1740694348 |
|---|---|
| Former Name | JUSTINE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 36889) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101277312) |
| 207Q00000X Family Medicine (Licence: FL TPME2863) | |
| 207Q00000X Family Medicine (Licence: NC 03234) | |
| 207Q00000X Family Medicine (Licence: NY 320491-01) | |
| 207Q00000X Family Medicine (Licence: MI 4301508448) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-05-24 |