NPI | 1083930655 |
---|---|
Former Name | JOANNA PATRICIA COONRADT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS12526) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS12526) |
208000000X Pediatrics (Licence: FL OS12526) | |
Enumeration Date | 2010-04-08 |
Last Update Date | 2021-04-26 |