NPI | 1912490624 |
---|---|
Former Name | ARIELLA DERENGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0027096) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ MT215080) |
Enumeration Date | 2018-06-08 |
Last Update Date | 2024-08-23 |