| NPI | 1912900838 |
|---|---|
| Former Name | CAROL NANCY EDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01990) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 1576) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-07-21 |