NPI | 1033192810 |
---|---|
Former Name | AMY JO REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35073001R) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 160490) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2025-06-19 |