NPI | 1225045602 |
---|---|
Former Name | LASEAN NICOLE BOST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2006-01049) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200601049) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-10-25 |