NPI | 1497073852 |
---|---|
Former Name | JESSICA L TIERNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 57334) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 63671-20) |
Enumeration Date | 2010-05-11 |
Last Update Date | 2023-06-13 |