NPI | 1932293883 |
---|---|
Former Name | KERI LYN MULLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS10037) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 056151) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2011-06-17 |