| NPI | 1750336103 |
|---|---|
| Other Name | K. RAE AMBROZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036103211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 6650A) |
| 207Q00000X Family Medicine (Licence: NC 9801139) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-03-21 |