NPI | 1447565064 |
---|---|
Former Name | RITA ROXANNE ROLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 22840) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 34327) |
207Q00000X Family Medicine (Licence: CO DR.0070348) | |
Enumeration Date | 2010-08-09 |
Last Update Date | 2023-11-07 |