| NPI | 1902803109 |
|---|---|
| Former Name | CAROLYN SHANLEY CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 201301684) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 35799) |
| 208600000X Surgery (Licence: IN 01066148A) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2023-11-07 |