NPI | 1801337258 |
---|---|
Former Name | DAWN ALEXANDRA MIKELONIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD204098) |
Enumeration Date | 2017-03-18 |
Last Update Date | 2021-06-30 |