| NPI | 1851489504 |
|---|---|
| Other Name | CARRIE ELIZABETH WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003906) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052579) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-11-22 |