NPI | 1346268158 |
---|---|
Other Name | MICKI ALICE KANTROWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OR MD180886) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0040152) |
207Q00000X Family Medicine (Licence: VA 0101258386) | |
207Q00000X Family Medicine (Licence: OR MD180886) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2019-12-20 |