NPI | 1922276153 |
---|---|
Former Name | JENNIFER M VELASCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME134815) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 70099) |
207R00000X Internal Medicine (Licence: FL TRN21204) | |
207R00000X Internal Medicine (Licence: FL ME134815) | |
Enumeration Date | 2008-02-11 |
Last Update Date | 2024-01-26 |