NPI | 1558740415 |
---|---|
Former Name | KARA EBERHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 4268) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A17402) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2021-05-12 |