| NPI | 1891957924 |
|---|---|
| Former Name | CAROLYN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R9813) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101252861) |
| 207R00000X Internal Medicine (Licence: NE 5842) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2020-06-26 |