NPI | 1699113795 |
---|---|
Former Name | JOHANNA GULMATICO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME114852) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME114852) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2024-01-09 |