NPI | 1083653778 |
---|---|
Former Name | VIVIAN MARIE SCHAUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 200401561) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200401561) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2015-02-02 |