| NPI | 1760701007 |
|---|---|
| Former Name | RHONDA R DEPAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-146484) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME111025) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2023-10-30 |