NPI | 1558858225 |
---|---|
Former Name | ANNMARIE KATHERINE RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD473382) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-18 |
Last Update Date | 2022-09-07 |