NPI | 1609168855 |
---|---|
Former Name | MARRI ANN KAJFEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 201500906) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10039969) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2018-01-24 |