NPI | 1225419385 |
---|---|
Former Name | JILLIAN KOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 18862) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 18862) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2018-09-12 |