| NPI | 1891742276 |
|---|---|
| Former Name | CAROL BRAVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME103587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228115) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-02-02 |