| NPI | 1821026485 |
|---|---|
| Former Name | MARY AGNES OLMSCHEID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0064049) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 44037) |
| 207Q00000X Family Medicine (Licence: LA 200028) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-10-06 |