NPI | 1083054746 |
---|---|
Former Name | RAE ANN ROHLFSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 28737) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7010) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2017-09-07 |