| NPI | 1669733606 |
|---|---|
| Former Name | CHRISTINE DORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 82449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 1113) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-01-12 |