NPI | 1043362841 |
---|---|
Former Name | MICHELLE INFORZATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD210740) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G87571) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2024-07-02 |