NPI | 1770043341 |
---|---|
Former Name | CAROLINE B KRUMHOLZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61179858) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042.0016389) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2022-12-08 |