NPI | 1548453327 |
---|---|
Former Name | ANASTASI CRAFT MOHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD 42889) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101250876) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2023-11-13 |