| NPI | 1831385533 |
|---|---|
| Former Name | MICHELLE MIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 43231) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 43231) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2021-05-07 |