| NPI | 1902036957 |
|---|---|
| Former Name | DANA MICHELLE FAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A111871) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2014-11-18 |