| NPI | 1023384567 |
|---|---|
| Former Name | MICHELLE PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL os12397) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-01-17 |