NPI | 1326432253 |
---|---|
Former Name | JAMIE PREVEDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 11284221-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11284221-1205) |
208000000X Pediatrics (Licence: UT 11284221-1205) | |
Enumeration Date | 2015-03-28 |
Last Update Date | 2022-02-09 |