NPI | 1396171500 |
---|---|
Former Name | CAROLINE JOY WEINHEIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60573566) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60386634) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2024-09-24 |