NPI | 1194750992 |
---|---|
Former Name | MARILYN NICOLE METZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 97771) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A77575) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2024-10-21 |