| NPI | 1023309408 |
|---|---|
| Former Name | THERESA MARIA SUMBERAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 273864-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2016-11-08 |