NPI | 1386761153 |
---|---|
Former Name | REBECCA ANN KRUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO1751) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9884) |
Enumeration Date | 2007-03-24 |
Last Update Date | 2013-12-17 |