| NPI | 1235331042 |
|---|---|
| Former Name | EMILY LAUREN MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 200123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 200123) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-08-20 |