| NPI | 1124083514 |
|---|---|
| Former Name | GIAVONNE D RONDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 39559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01056457A) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-08-15 |