| NPI | 1497038129 |
|---|---|
| Former Name | COLLEEN FARRELL SELIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 255689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 022648) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2015-11-16 |