NPI | 1023370822 |
---|---|
Former Name | AMY SCHMEIDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD171175) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R9460) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2016-05-09 |