Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 22173 | CA |
NPI | 1770700973 |
---|---|
Provider Name | Dr. Gianne Lindsey Brintwood |
First Address | Escondido, CA 92029-7944 |
Second Address | Rancho Bernardo, CA 92127-3509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 07/04/2008 |