| 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 |