| NPI | 1720134919 |
|---|---|
| Former Name | APRIL MARLENE SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0065251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 155484) |
| 207R00000X Internal Medicine (Licence: VA 0101237499) | |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2013-02-06 |