NPI | 1700221132 |
---|---|
Former Name | JILL E THREEWITS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34013268) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020342) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2018-08-31 |