| NPI | 1346567195 |
|---|---|
| Former Name | CAROLYN MELISSA PICKERAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO DR.0054388) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2015-10-14 |