NPI | 1194245316 |
---|---|
Former Name | CHRISTINA KATHLEEN LOYKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.017005) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 95889) |
207Q00000X Family Medicine (Licence: IL 125XXXXXX) | |
207Q00000X Family Medicine (Licence: MO 2019010039) | |
Enumeration Date | 2017-06-20 |
Last Update Date | 2024-11-08 |