| NPI | 1356515217 |
|---|---|
| Former Name | EILEEN ELISABETH FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX M7978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7978) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-10-04 |