NPI | 1225117526 |
---|---|
Former Name | RAYNA CARIN TRUDEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 61644) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 33184) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2013-12-26 |