NPI | 1114313764 |
---|---|
Former Name | RACHEL BETH BLOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59386) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 59386) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2022-03-18 |