NPI | 1093985731 |
---|---|
Former Name | ANNE HERBST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA A104117) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A104117) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2022-07-15 |