| NPI | 1780138925 |
|---|---|
| Former Name | CAROLINE CARNEY KANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016581) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2296514) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2018-05-07 |