NPI | 1679802987 |
---|---|
Former Name | CAROLYN GAIL SENAVSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-13405) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR-48401) |
Enumeration Date | 2009-12-15 |
Last Update Date | 2016-11-02 |