NPI | 1023283652 |
---|---|
Former Name | JULIE ELIZABETH ZWIESLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: OH 35.089577) |
Enumeration Date | 2008-04-24 |
Last Update Date | 2023-08-01 |