| NPI | 1023001161 |
|---|---|
| Former Name | SANDRA BLOWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO153439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004004157) |
| 207R00000X Internal Medicine (Licence: KS 05-31742) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2011-03-01 |