| NPI | 1447213657 |
|---|---|
| Former Name | MICHELE SUSAN FALLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 33916) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 33916) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2017-04-03 |