| NPI | 1790045680 |
|---|---|
| Former Name | CARRIE FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 3862) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1380) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-11-29 |