NPI | 1962473157 |
---|---|
Former Name | MICHELE LYNN KRATZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 48751) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35. 070982) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2022-07-20 |