NPI | 1164985040 |
---|---|
Former Name | GRETA LOCHIE SCHNEIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036170447) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD475023) |
207RS0010X Internal Medicine, Sports Medicine (Licence: PA MD475023) | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2025-01-09 |