NPI | 1598260580 |
---|---|
Former Name | ELLEN CHRISTINE ROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0024085) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101268386) |
207Q00000X Family Medicine (Licence: MD D90833) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2023-08-30 |