NPI | 1821098468 |
---|---|
Former Name | WENDY THERESE CICEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C143607) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C143607) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2018-10-10 |