| NPI | 1164788527 |
|---|---|
| Former Name | MICHELLE MARIE ZUCCATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD466692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 31561) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-07-29 |