NPI | 1215987094 |
---|---|
Former Name | PAULA JANE SIEVERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2005021803) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 20697) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2009-07-29 |