NPI | 1588097299 |
---|---|
Former Name | RITA JANE AULIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD195070) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 12909A) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2024-04-16 |