NPI | 1659356574 |
---|---|
Former Name | HEIDI B. GINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MA 159349) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 159349) |
207QA0401X Family Medicine, Addiction Medicine (Licence: NH 16460) | |
207QA0401X Family Medicine, Addiction Medicine (Licence: CT 52615) | |
207QA0401X Family Medicine, Addiction Medicine (Licence: ME MD19870) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2025-06-09 |