NPI | 1811997463 |
---|---|
Other Name | RUTH MARIE KRAUSENECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101010453) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 010453) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2025-05-02 |