NPI | 1598178162 |
---|---|
Former Name | NATALIE R CONGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB11064600) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA O5018463) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2021-08-16 |