NPI | 1699905943 |
---|---|
Former Name | HEATHER JEANNE RIDDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2012012184) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012012184) |
Enumeration Date | 2009-07-21 |
Last Update Date | 2023-05-30 |