Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G077110 | CA |
N | 111NI0900X | Internist | G077110 | CA |
N | 207RC0200X | Critical Care Medicine | G077110 | CA |
N | 207RP1001X | Pulmonary Disease | G077110 | CA |
NPI | 1063495935 |
---|---|
Provider Name | Dr. Susan Murin |
First Address | Sacramento, CA 95817-1460 |
Second Address | Sacramento, CA 95817-1460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G77110 | (05) | CA |
G18548 | (02) | CA |