NPI | 1962797092 |
---|---|
Former Name | RHONEL LANIQUE TRIMMINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249824) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME121196) |
207R00000X Internal Medicine (Licence: OH 35.137962) | |
Enumeration Date | 2011-06-16 |
Last Update Date | 2022-01-25 |