NPI | 1750371399 |
---|---|
Former Name | CAROLYN E ALBRITTON MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 37972) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 9101A) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2022-07-21 |