NPI | 1891783056 |
---|---|
Former Name | JEAN TSCHUSCHKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200701959) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 2007-01959) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2018-06-30 |