NPI | 1023317252 |
---|---|
Former Name | GINA STOECKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.124019) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.020428) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2014-07-23 |