NPI | 1881856268 |
---|---|
Former Name | GRETCHEN ANN LEWIS KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-05329) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 032.0079941) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2022-12-15 |