NPI | 1962484329 |
---|---|
Former Name | HOLLY TRIPP BURGGRAF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 25625) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD170137) |
207Q00000X Family Medicine (Licence: CO 42895) | |
207Q00000X Family Medicine (Licence: WI 107-320) | |
207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-35639) | |
207Q00000X Family Medicine (Licence: NM MD2014-0872) | |
207Q00000X Family Medicine (Licence: MO 2014040818) | |
207Q00000X Family Medicine (Licence: WY 9939A) | |
207Q00000X Family Medicine (Licence: NV 15656) | |
207Q00000X Family Medicine (Licence: ID M-12722) | |
207Q00000X Family Medicine (Licence: MN 63507) | |
207Q00000X Family Medicine (Licence: HI MD-17921) | |
207Q00000X Family Medicine (Licence: IL 036145467) | |
207Q00000X Family Medicine (Licence: WA MD60510290) | |
207Q00000X Family Medicine (Licence: CA A68380) | |
Enumeration Date | 2005-11-18 |
Last Update Date | 2023-12-19 |