NPI | 1003487687 |
---|---|
Former Name | ANNE CATHERINE RUGGLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101047121) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D89102) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2021-07-06 |