| NPI | 1861629107 |
|---|---|
| Former Name | BREE NICOLE RUPPERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 259352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 004011) |
| Enumeration Date | 2009-06-13 |
| Last Update Date | 2014-07-29 |