NPI | 1629075429 |
---|---|
Former Name | VICTONIA ANN PIEKARSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004084A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-007433) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2024-04-11 |