NPI | 1710471750 |
---|---|
Former Name | JESSICA LEE RYDBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 009450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 2322) |
207R00000X Internal Medicine (Licence: NE 8344) | |
Enumeration Date | 2018-06-21 |
Last Update Date | 2022-08-22 |