| NPI | 1447244884 |
|---|---|
| Former Name | OLEVIA MITCHEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R8G76) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-23582) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2023-02-02 |