| NPI | 1609841188 |
|---|---|
| Former Name | MARY ILONA FREKKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0062800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD046987) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2025-04-21 |