| NPI | 1407089436 |
|---|---|
| Former Name | MISTIE A MUTOMBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-11036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD205733) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2020-11-23 |