| NPI | 1932431053 |
|---|---|
| Former Name | COLLEEN C RISSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: AZ 2843) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 2843) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2012-02-04 |