| NPI | 1770773962 |
|---|---|
| Former Name | KELLIE JO LIMBACHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13299) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-009181) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-07-21 |