NPI | 1336197078 |
---|---|
Former Name | KATRINA SANDOVAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 39009) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39009) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: KY 39009) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2022-08-08 |