NPI | 1932463445 |
---|---|
Former Name | AMY WIRTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 02004606A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02004606A) |
207R00000X Internal Medicine (Licence: IN 11016694A) | |
Enumeration Date | 2012-06-28 |
Last Update Date | 2025-03-25 |