NPI | 1598077034 |
---|---|
Former Name | JAWAUNA FAULKNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 22576) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 22576) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2022-06-07 |