NPI | 1164080958 |
---|---|
Former Name | CASSANDRA LYNN RODD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301506365) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351045049) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2024-03-04 |