| NPI | 1063549970 |
|---|---|
| Former Name | JACINDA TRIELLE MAWSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0051872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224827) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-12-10 |