NPI | 1548657281 |
---|---|
Former Name | ARIEL REBECCA RIEZENMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 3709) |
Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: TN 3709) |
208000000X Pediatrics (Licence: TN 3709) | |
207R00000X Internal Medicine (Licence: TN 3709) | |
Enumeration Date | 2015-04-21 |
Last Update Date | 2024-08-08 |