NPI | 1396780367 |
---|---|
Former Name | RHONDA KAYE CERMAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2009006695) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2006-06-16 |
Last Update Date | 2010-08-09 |