NPI | 1659831212 |
---|---|
Former Name | COURTNEY SCHUELKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A179118) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A179118) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2023-09-18 |