| NPI | 1871717538 |
|---|---|
| Former Name | ABBY DANIELLE BOWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-00563) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-095739) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-03-13 |