NPI | 1790926814 |
---|---|
Former Name | CENA DARLENE KRAFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 8259) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13522) |
Enumeration Date | 2009-03-19 |
Last Update Date | 2023-10-16 |