NPI | 1326709072 |
---|---|
Former Name | MARY SEITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OH 35.069374) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.069374) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-01-10 |