| NPI | 1518314939 |
|---|---|
| Former Name | MARY MAMUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 7230) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL os16300) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-09-14 |