| NPI | 1679063184 |
|---|---|
| Former Name | CALLIE ANN BAUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S4179) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10063983) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2021-09-27 |