| NPI | 1831592484 |
|---|---|
| Former Name | CARTER ELLIS WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C05858) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60507197) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2017-01-23 |