NPI | 1790748721 |
---|---|
Former Name | MICHELINA FATO-MORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD 040123 E) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MD 040123 E) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD 040123 E) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2008-01-25 |