| NPI | 1235622432 |
|---|---|
| Other Name | MARIE DANIELLE JENA RUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.155555) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.072985) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-04-12 |