Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 29630 | CA |
NPI | 1770737710 |
---|---|
Provider Name | Dr. Sheralyn Margaret Winn |
First Address | Tustin, CA 92780-3332 |
Second Address | Tustin, CA 92780-3332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2008 |
Last Update Date | 04/11/2008 |