| NPI | 1366485005 |
|---|---|
| Former Name | MIA F WIMBERLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036149453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101015690) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-12-21 |