| NPI | 1619104981 |
|---|---|
| Former Name | ALICIA C SHUTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 31839) |
| 207R00000X Internal Medicine (Licence: SC LL31839) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2023-10-24 |