NPI | 1114227683 |
---|---|
Former Name | NICOLE SWEITZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016283) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013241) |
Enumeration Date | 2010-10-29 |
Last Update Date | 2023-12-21 |