NPI | 1174551253 |
---|---|
Other Name | DEALVA TAUNDOLYN SUBER-MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 15386) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 15386) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2017-02-06 |