NPI | 1275982498 |
---|---|
Former Name | STEPHANIE RICO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 277157) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 277157) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2019-03-26 |