| NPI | 1275827792 |
|---|---|
| Former Name | MARITA DANIELLE TEEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 62547) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2021-04-02 |