NPI | 1720493760 |
---|---|
Former Name | LISA SPAUDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0058284) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065627) |
Enumeration Date | 2014-06-28 |
Last Update Date | 2019-12-11 |