Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | H1561 | TX |
NPI | 1023274040 |
---|---|
Provider Name | Dr. Saune-Elisabet Christensen-Craig Carlisle |
First Address | Brawley, CA 92227-2737 |
Second Address | Brawley, CA 92227-2630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 04/09/2014 |