NPI | 1073657771 |
---|---|
Former Name | REBECCA L MORTENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0029841) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 29641) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2021-04-08 |