| NPI | 1043572126 |
|---|---|
| Former Name | CAROLYN N SANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.137804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.061228) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2017-06-05 |