| NPI | 1083144562 |
|---|---|
| Former Name | MARY MARICA POTKONJAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 84473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070988) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-10-01 |