NPI | 1083841753 |
---|---|
Former Name | KARLI ROSS ECHTERLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2012041513) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2012041513) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2019-05-08 |