NPI | 1043310121 |
---|---|
Former Name | JULIE ANN PLOUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34007535A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2010025667) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2022-07-21 |