NPI | 1598752800 |
---|---|
Former Name | SHELLEY DENISE MUNDHENKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-38294) |
Enumeration Date | 2005-10-02 |
Last Update Date | 2021-08-03 |