NPI | 1083097349 |
---|---|
Former Name | RENEE PETERKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 80917) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 008150) |
Enumeration Date | 2015-07-06 |
Last Update Date | 2022-09-13 |