NPI | 1467772236 |
---|---|
Former Name | BONNIE J. BOWEN |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB09277300) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013460) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2019-02-26 |