| NPI | 1225080336 |
|---|---|
| Former Name | COURTNEY ANNE DESELM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34-006885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34006885) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-01-12 |