NPI | 1104936517 |
---|---|
Former Name | RHONDEE ANDREA BENJAMIN-JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC 036176) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228315) |
207R00000X Internal Medicine (Licence: CA A99521) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-03-31 |