| NPI | 1770780538 |
|---|---|
| Former Name | CARRIE ANN FITZGIBBONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2010006349) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006015672) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-09-06 |