NPI | 1144482993 |
---|---|
Former Name | CARLY BETH BOHRER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2010-01341) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME115981) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2024-12-09 |