| NPI | 1821309972 | 
|---|---|
| Other Name | CAROLINA FONSECA SCULLION | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 283408) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD14725) | 
| Enumeration Date | 2010-06-23 | 
| Last Update Date | 2020-07-07 |