NPI | 1154368447 |
---|---|
Former Name | ELLEN RENEE POST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: WV 21389) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.099978) |
207Q00000X Family Medicine (Licence: WV 21389) | |
207Q00000X Family Medicine (Licence: VT 042-0011212) | |
207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.099978) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2024-09-30 |