NPI | 1356488928 |
---|---|
Former Name | SUSAN MARIE HOLEC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02001359A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 0200) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2023-10-03 |