NPI | 1588063655 |
---|---|
Former Name | CARLA ANN RUTHERFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 35519) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-08-14 |
Last Update Date | 2022-03-31 |