| NPI | 1851595334 |
|---|---|
| Former Name | CARRIE ROSE KLOTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 256859) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000045187) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-10-25 |