NPI | 1497838726 |
---|---|
Former Name | CHRISTINE ANN HEUERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: AL MD.22659) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL AL22659) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2022-04-18 |