NPI | 1295256063 |
---|---|
Former Name | TARAJO REINHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4351039051) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301112370) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2019-01-23 |