| NPI | 1295934081 |
|---|---|
| Former Name | DOREEN ANN TELISAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 45811) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A113085) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2022-11-01 |