NPI | 1548245376 |
---|---|
Former Name | BRIDGET HUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD427456) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0081240) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2024-06-13 |