NPI | 1942641691 |
---|---|
Former Name | KATIE RITZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.012002) |
Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural |
Enumeration Date | 2013-07-10 |
Last Update Date | 2018-03-28 |