NPI | 1043440944 |
---|---|
Former Name | KALISTA JEAN TROMBLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2015001548) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 05-36624) |
Enumeration Date | 2009-07-26 |
Last Update Date | 2021-03-15 |