NPI | 1770147159 |
---|---|
Former Name | EMILY E FOLTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-15319) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1823) |
207Q00000X Family Medicine (Licence: UT 13163729-1205) | |
Enumeration Date | 2019-04-30 |
Last Update Date | 2023-06-06 |