NPI | 1043426349 |
---|---|
Former Name | JANAE D ZOLNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61199795) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A110101) |
207Q00000X Family Medicine (Licence: OR MD163282) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2021-09-28 |