NPI | 1598100950 |
---|---|
Former Name | SARAH RIA TAN KUHLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 68925) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 65706) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2023-05-04 |