| NPI | 1639380298 |
|---|---|
| Former Name | DEANNA LYNN MULLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 068502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME102490) |
| 207R00000X Internal Medicine (Licence: GA 68502) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-04-14 |