| NPI | 1225267230 |
|---|---|
| Former Name | MARY MARGARET MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 27690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407205) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2015-06-02 |