NPI | 1144212218 |
---|---|
Former Name | KAREN LOUISE WINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME148154) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-058699) |
207Q00000X Family Medicine (Licence: CA G58243) | |
Enumeration Date | 2005-08-16 |
Last Update Date | 2021-03-09 |