NPI | 1427210053 |
---|---|
Former Name | CAROLINE M COTTRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 52950) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 440426) |
207R00000X Internal Medicine (Licence: PA MT192528) | |
207R00000X Internal Medicine (Licence: NY 259632-1) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2018-03-17 |