| NPI | 1104999838 |
|---|---|
| Former Name | JEANNETTE M KOLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35-066717) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35066717P) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-03-01 |