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 |