NPI | 1891061412 |
---|---|
Former Name | KOPRIVA MARIE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61025441) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00658) |
207R00000X Internal Medicine (Licence: SC 40136) | |
208M00000X Hospitalist (Licence: NC 2015-00658) | |
Enumeration Date | 2012-03-28 |
Last Update Date | 2020-04-21 |