NPI | 1356787550 |
---|---|
Former Name | ANNIE K BAHLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.149009) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D81856) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2023-11-13 |