NPI | 1700861374 |
---|---|
Former Name | KIM I FRICKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0096709) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101039533) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2024-04-03 |