| 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 |