NPI | 1760610950 |
---|---|
Former Name | NIKOLE A CREMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-0597) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MR-1048) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2011-09-19 |