NPI | 1164809380 |
---|---|
Former Name | JESSICA HERMILDA RIMKUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-39420) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018027847) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2023-11-29 |