NPI | 1568782605 |
---|---|
Former Name | KELSEY MICHIKO SHIKUMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: HI MD17573) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A11290) |
207R00000X Internal Medicine (Licence: CA A11290) | |
207R00000X Internal Medicine (Licence: HI MD17573) | |
Enumeration Date | 2010-06-10 |
Last Update Date | 2015-01-27 |