| NPI | 1508494410 |
|---|---|
| Former Name | GRACE ELIZABETH BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 32490) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: OH 35.143963) |
| 207R00000X Internal Medicine (Licence: OH 35.143963) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2024-05-08 |