NPI | 1831503010 |
---|---|
Former Name | TARA A FRITZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME125379) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME125379) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2024-10-18 |