NPI | 1114988730 |
---|---|
Former Name | SHERI A JUNGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101255504) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 37027) |
207Q00000X Family Medicine (Licence: WI 33525) | |
Enumeration Date | 2006-03-31 |
Last Update Date | 2023-11-27 |