NPI | 1255384756 |
---|---|
Former Name | CHRISTINA LOUISE RIECKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO DR.0062750) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX M6057) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2019-08-21 |