| NPI | 1881663847 |
|---|---|
| Former Name | MARLENE S BIRKHOLTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 38630) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 349) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-05-08 |