| NPI | 1720254972 |
|---|---|
| Former Name | JAMIE ETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS014252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.012233) |
| 207R00000X Internal Medicine (Licence: WV 2198) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2022-04-06 |