| NPI | 1629311840 |
|---|---|
| Former Name | MICHELLE SUSAN GRUZMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A13754) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2016-09-28 |