Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 34.014421 | OH |
Y | 111NI0900X | Internist | 34.014421 | OH |
NPI | 1003317298 |
---|---|
Provider Name | Dr. Finianne Jimenez Umali-Corry |
First Address | Wright Patterson Afb, OH 45433-5529 |
Second Address | Lackland Afb, TX 78236-5638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2018 |
Last Update Date | 04/08/2021 |